Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 300790 | NY |
Y | 208600000X | Surgeon | 300790 | NY |
N | 2086S0102X | Surgical Critical Care | 300790 | NY |
NPI | 1245521202 |
---|---|
Provider Name | Dr. Hana Gabrielle Lopez-Quinones |
First Address | Bronx, NY 10461 |
Second Address | Bronx, NY 10461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 23/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300790 | MEDICAL LICENSE (01) | NY |